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Sci Total Environ . Surveillance of SARS-CoV-2 in sewage from buildings housing residents with different vulnerability levels

tetano

Editor, Senior Moderator
Sci Total Environ


. 2023 Feb 9;162116.
doi: 10.1016/j.scitotenv.2023.162116. Online ahead of print.
Surveillance of SARS-CoV-2 in sewage from buildings housing residents with different vulnerability levels


Anna Pico-Tomàs[SUP] 1 [/SUP], Cristina Mejías-Molina[SUP] 2 [/SUP], Ian Zammit[SUP] 1 [/SUP], Marta Rusiñol[SUP] 2 [/SUP], Sílvia Bofill-Mas[SUP] 2 [/SUP], Carles M Borrego[SUP] 3 [/SUP], Lluís Corominas[SUP] 4 [/SUP]



Affiliations

Abstract

During the last two years, various restrictions have been set up to limit the transmission of the Coronavirus Disease (COVID-19). While these rules apply at a large scale (e.g., country-wide level) human-to-human transmission of the virus that causes COVID-19, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), occurs at a small scale. Different preventive policies and testing protocols were implemented in buildings where COVID-19 poses a threat (e.g., elderly residences) or constitutes a disruptive force (e.g., schools). In this study, we sampled sewage from different buildings (a school, a university campus, a university residence, and an elderly residence) that host residents of different levels of vulnerability. Our main goal was to assess the agreement between the SARS-CoV-2 concentration in wastewater and the policies applied in these buildings. All buildings were sampled using passive samplers while 24-h composite samples were also collected from the elderly residence. Results showed that passive samplers performed comparably well to composite samples while being cost-effective to keep track of COVID-19 prevalence. In the elderly residence, the comparison of sampling protocols (passive vs. active) combined with the strict clinical testing allowed us to compare the sensitivities of the two methods. Active sampling was more sensitive than passive sampling, as the former was able to detect a COVID-19 prevalence of 0.4 %, compared to a prevalence of 2.2 % for passive sampling. The number of COVID-19-positive individuals was tracked clinically in all the monitored buildings. More frequent detection of SARS-CoV-2 in wastewater was observed in residential buildings than in non-residential buildings using passive samplers. In all buildings, sewage surveillance can be used to complement COVID-19 clinical testing regimes, as the detection of SARS-CoV-2 in wastewater remained positive even when no COVID-19-positive individuals were reported. Passive sampling is useful for building managers to adapt their COVID-19 mitigation policies.

Keywords: COVID-19; Wastewater surveillance, passive sampling; Wastewater-based epidemiology.
 
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